Individual provider Active NPI

Kourosh Khamooshian, MD

  • Internal Medicine Physician
  • La Mesa, CA
National Provider Identifier
1659523975
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A110901 Issued in CA
Practice address
5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020
Phone
(888) 475-6662
Fax
(858) 408-3844
NPI assigned
Oct 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A110901 CA
Internal Medicine Physician 207R00000X A110901 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020

Mailing address

5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020
Phone (858) 603-6576

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911 ext. 7790

Other identifiers 2

IdentifierTypeStateIssuer
W14158OtherCAPTAN
DJ1227OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130502000050 CA Practitioner - Internal Medicine 9133253958 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians
Caremd, Inc.Group PAC ID 9133390297, 7 clinicians

Practice addresses (Care Compare)

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

5555 Reservoir Dr
Suite 303
San Diego, CA 92120-5181
Phone (858) 373-9616

7339 El Cajon Blvd
Suite I
La Mesa, CA 91942-7435
Phone (619) 629-0500

Hospital & facility affiliations

  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Advantage Health Systems Home health agency, San Diego, CA, CCN 058355
  • A Better Solution in Home Care Home health agency, San Diego, CA, CCN 053116
  • Gentiva Hospice, Palm Desert, CA, CCN 051716
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A110901CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Neighborhood Healthcare Current Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Aug 1, 2015 Accepting new patients
Eisenhower Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Healthcare Crossing Corporation Internal Medicine CurrentSince Jan 5, 2013 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 18, 2012 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Kourosh Khamooshian MD, PC Current Accepting new patients
San Diego Critical Care Medical Group, Inc Internal Medicine PastSince Nov 20, 2022 Accepting new patients
Hospitalist Medicine Physicians of Imperial County, Inc.. Internal Medicine Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

5565 Grossmont Center Dr
Ste 444
La Mesa, CA 91942
Phone (619) 784-1060

5565 Grossmont Center Dr
Ste 229
La Mesa, CA 91942
Phone (619) 280-3500

5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443

5565 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 461-3150

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

14677 Via Bettona
Ste 110
San Diego, CA 92127

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHJBA/Endpoint/DAHJBA

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1659523975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 444",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "858-603-6576",
            "fax_number": "858-408-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 444",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "888-475-6662",
            "fax_number": "858-408-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911 x7790",
            "fax_number": "760-837-8956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMOOSHIAN",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A110901",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W14158",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DJ1227",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.